Provider First Line Business Practice Location Address:
BOX 5299
Provider Second Line Business Practice Location Address:
MULTICARE MEDICAL CENTER (M/S A2-RXD)
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98415-0299
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-403-1078
Provider Business Practice Location Address Fax Number:
253-403-1558
Provider Enumeration Date:
12/22/2005